Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.07 / $868.07 / $2,318.71	Facility		$868.07	$868.07	$2,318.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.85 / $868.07 / $1,213.99	Professional		$691.85	$868.07	$1,213.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $979.03 / $1,417.53 / $2,296.80	Facility		$979.03	$1,417.53	$2,296.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $861.30 / $1,148.40 / $1,305.36	Professional		$861.30	$1,148.40	$1,305.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,305.36 / $1,305.36 / $2,088.59	Facility		$1,305.36	$1,305.36	$2,088.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.17 / $2,871.81 / $3,622.50	Facility		$1,950.17	$2,871.81	$3,622.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.02 / $1,590.88 / $1,988.60	Professional		$1,500.02	$1,590.88	$1,988.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,435.91 / $1,501.18 / $1,696.98	Professional		$1,435.91	$1,501.18	$1,696.98
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $783.22 / $1,305.36	Professional		$548.26	$783.22	$1,305.36